The standard armpit surgery, the shearing method

The most standard and most widely performed armpit odour surgery in Japan is the excision method. Armpit odour is caused by the decomposition of secretions from the apocrine sweat glands by resident bacteria on the skin. In one or two places in the centre of the hairy part of the armpit, where the density of the apocrine sweat glands that cause armpit odour is high, an incision is made a few centimetres in length, the skin is peeled and turned over, the apocrine sweat glands are exposed and actually visually inspected and removed with surgical scissors. After removing the apocrine sweat glands, the excision method involves firmly fixing the skin flap with gauze so that it can be attached to the base of the skin.

Effect

The part where the apocrine sweat glands can be removed by surely shearing like the skin of the armpit can be expected to be effective, but this surgical method requires a peeling technique of peeling the subcutaneous tissue from the skin.It is difficult to remove the skin over a wide area for armpits such as the hem and areola.For this reason, the areas where treatment can be performed are limited. Regarding the armpits, only the area around the center can be peeled off, and the skin around the armpits, that is, the upper arm and torso, cannot be peeled off completely. If a procedure is performed to peel off a wide area of ​​skin, hospitalization is required as a general rule, and a special method called double tie-over is used to fix the peeled skin with gauze in place, and long periods of rest are required in order to allow the peeled skin to attach to the base. downtime The postoperative downtime is long because the skin is incised and peeled off. This is because it takes time for blood flow to resume in order for the peeled skin to completely attach to the host bed. Strong pressure fixation is required to prevent the peeled skin from floating and forming a hematoma. If strong pressure fixation is not performed, bleeding may occur in the space, causing blood flow to be insufficient in the skin above the hematoma, leading to skin necrosis. Pressure fixation is required for at least one to two weeks. When fixing, the skin and gauze are firmly sewn together with thread, leaving unsightly thread marks. Not all cases of wounds after surgery are good. There are many cases where a capsule of a mass called a sebaceous cyst develops some time after the wound has completely healed and requires surgery to remove it. Therefore, this treatment was performed in an era when there was no appropriate treatment other than surgery, and it is rarely performed nowadays. It can be said to be a Showa-era armpit odor treatment. The surgical scars of the excision method are noticeable for several months, but after about six months the scars become less noticeable to a certain extent, and after several years they become less noticeable. This is not a treatment option for those who absolutely do not want to be left with scars. Patients for whom the shearing method is indicated

Surgery is also an option if you want to expect a certain degree of certainty and permanent therapeutic effect with one treatment.Considering the risk of downtime, scars and various postoperative complications, it is not recommended due to its few advantages over current medical levels and other treatments.

However,Since the pruning method is covered by insurance, you can have surgery at an insurance medical institution with insurance.

The cost of treating body odor is relatively low and the financial burden is reduced.

However, in the case of outpatient surgeryExtensive shearing is difficult and risky, so it is inevitably ineffective. If you wish to receive a wide range of pruning methods that are highly effective, you will need to be hospitalized at a medical institution with a specialist who has an inpatient facility, undergo surgery, and perform resting and fixation for about XNUMX to XNUMX weeks.

Surgery in the hospital is physically and financially burdensome, and considering the cost of hospitalization, it is not always cheap because it is an insurance treatment compared to cosmetology treatment.

Why is the shearing method covered by insurance?

Axillary odor is a disease that should be treated and is covered by insurance.

In the early Showa period, there is a history of rough surgery such as cutting and removing armpit skin, which is called the excision method, at a surgical hospital.Later, a relatively minimally invasive shearing method was developed and covered by insurance.

What is the failure of the shearing method?

If you have surgery with an inexperienced doctor, not only will it not be effective, but the chances of complications will increase.

The cause of the failure isWhen the doctor's achievements / experience and skill level are low.

 

What is the recurrence with the shearing method?

The biggest cause of recurrence is the halfway removal of the sweat gland tissue that causes the odor.It is exhausted.

When skin grafting is done as thinly as possible, the same technique is required to scrape it.andExcessive use can lead to skin necrosis due to poor circulation and postoperative skin contracture, leaving ugly scars such as contracture scars and hypertrophic scars.

It is difficult to adjust, and surgery is always experienced and can handle postoperative care. You need to see a specialist.

Importance of choosing a clinic

It is necessary to have surgery by the attending physician who clearly knows the number of cases of axillary odor surgery and years of work experience.

You need to choose a surgeon, not a clinic. There are no specialists with experience in armpit surgery at major cosmetic surgery clinics or well-known clinics.

I'm a cosmetic surgeon, so I'm a plastic surgeon, so I'm not good at pruning...There are also plastic surgeons and cosmetologists who have never seen or experienced treatment for axillary odor.

Especially at major cosmetic surgery clinics, there are actually cases where the director who has never experienced armpit surgery is in charge of armpit surgery.

You should thoroughly check your doctor's medical expertise, experience, and treatment record before undergoing surgery.

The price of the shearing method?

Insurance medical treatment depends on the out-of-pocket rate of insurance.

The total amount depends on the number of hospital visits, the presence or absence of treatment, the presence or absence of drugs, and the presence or absence of complications.

Outpatient surgery costs for insurance medical treatment,

One armpit about XNUMX to XNUMX yen　

Both armpits are about XNUMX to XNUMX yen.

At the cosmetic surgery clinic, you will have to pay for it, so it will range from XNUMX to XNUMX yen.

Scraping method FAQ

What is the postoperative pain?

The skin is exfoliated, but if it is firmly engrafted and bleeds and there is no speciation, there is no strong pain.

Anesthesia method?

We use a local anesthetic called xylocaine. It is a vasoconstrictor that contains epinephrine to prolong the anesthetic effect. Xylocaine with epinephrine is injected locally to achieve anesthesia. As a rule, surgery using general anesthesia is not performed due to the risks involved.

downtime?

Since it is necessary to fix the wound with gauze and tape after the operation, it is necessary to rest for XNUMX days after the operation so that the armpit cannot be lifted at all. Everyday life is possible.If you are hospitalized, you will have XNUMX-XNUMX weeks of downtime.

Complications / risks after surgery?

The most common complication is speciation due to bleeding from the exfoliated site after surgery.If not treated immediately, skin necrosis on the bloodline will definitely occur.There is almost no infection in the surgical site, but some time after surgery, cysts such as epidermoid cysts, folliculitis, and seromas may develop at the surgical site.

Is the effect certain?

Unfortunately, despite the heavy physical burden, the odor does not disappear completely.The reason is that the apocrine sweat glands cannot be removed at all in areas where the skin cannot be exfoliated.

Age for surgery?

The age at which the odor becomes a concern varies from person to person, but it can be as early as 10 years old or as early as the 4th or 5th grade of elementary school. Girls tend to become concerned about the odor earlier than boys. As a general rule, surgery is performed after high school age, when bed rest can be ensured.